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Posts by Andrew Jones12

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Robin Scott9 said:The eczema has been hanging around for about 7 years now. It settles down in the summer, then goes wild again once winter hits.

As for my urine tests, they’ve mostly been fine, though occasionally they flag "some mucus" or "some bacteria."

Regarding triglycerides—unfortunately, I didn't stick to those dietary rules (don't blame me, nobody actually told me).

I've had several thyroid panels done over the years, and everything comes back normal, except for that TSH which occasionally creeps into the H zone.

Then there's the iron issue. This has been a headache for 10 or 15 years. The first time was a serious deficit—if I recall correctly, levels were at 3, and nobody bothered to dig deeper. I take iron supplements for a while, then pause, and it just repeats in a cycle. Other than that, my Vitamin D is pretty low; it was 29 during the first test (should be 75+). I’ve been supplementing, and I should be getting a follow-up check this week.

Exercise? Mostly, yes. I wouldn't call myself an elite athlete, but I play basketball and hit the gym 3 or 4 times a week. Sometimes I'll take a few months off before jumping back in. I use protein supplements.

In terms of symptoms, aside from the low iron, everything was perfectly normal until about 6 or 7 years ago. That's when I went on antibiotics for H. pylori, and my digestive issues started—pale, bulky stools (which have basically persisted to this day). Around that same time, likely as a consequence, my skin issues kicked in whenever I caught a cold heading into winter—redness, itching, burning, and peeling. They flare up through the winter and calm down in the summer. As a result (or so I suspect), I get inflamed lymph nodes in my neck.

On the digestive front, I've had a few gastroscopies. Celiac disease was ruled out, but SIBO was confirmed via breath test. We tried treating it twice with antibiotics, but the problem is we never found the root cause of the SIBO, so it just came right back.

Beyond all that, I deal with significant fatigue and a total lack of energy.

You need to get your ferritin checked. That TSH level suggests subclinical hypothyroidism, which needs annual monitoring, but personally, I’d ask for anti-TPO testing too. Leukocytosis can happen if you smoke, but given the eosinophilia and basophilia, it's almost certainly tied to skin atopy. Stick to a lipid-lowering diet for at least three weeks, and I’d also recommend taking high-EPA omega-3 esters. The changes in stool and the rash immediately made me wonder if we were looking at dermatitis herpetiformis or celiac disease, but since that was ruled out—I hope they checked for tissue transglutaminase antibodies, though a definitive celiac diagnosis really requires a duodenal biopsy and pathology report.
Chest tightness in Health ·
Based on your description, and considering your age, these symptoms don't really align with typical heart pain. What you're describing isn't how standard indigestion usually presents, either. It’s more likely a musculoskeletal issue.
Emily Ortiz27 said:Five-year-old:
WBC 18, ESR 40—child doesn't even have a fever.

Is this just some random infection?

What about the CRP?

@Dana Robinson4/">@@Dana Robinson4
It means the patient was admitted under one specific diagnosis, which was then either confirmed or ruled out. That’s why the admission notes might look different from the discharge summary.
nimblepuma10 said:Hi, I was wondering if anyone knows how many irregularities in my EKG results could actually be linked to anemia.

I’m 41. I’ve been dealing with anemia for about three years now, though I only started taking Pfizer two months ago. I initially hoped just changing my diet would fix things, and honestly, a nurse gave me some bad info over the phone a year ago, telling me my levels weren't that bad. Then, two months ago, my doctor finally told me my iron was down to a measly 3 micromoles.

On top of that, my hemoglobin is low, along with my hematocrit, MCV, MCH, and MCHC. My RDW is elevated, which all points back to the anemia. Most of these deviations are within about 10% of the normal range. My thyroid is fine, and I don't have any allergies. I need surgery for a uterine polyp, which likely has something to do with the anemia. My cholesterol is high—7.3 total, with 4.3 LDL—but my triglycerides are sitting at 0.9.

The EKG shows that leads I and III don't have downward (S) deviations, and V4 only has a minimal upward (R) deviation. For aVL, both the R and S waves are so tiny they’re almost negligible. Everything else looks okay compared to the standard diagrams I've seen.

It also lists the following:
Vent rate 70 (should be normal)
PR int. 200 (right on the upper limit of normal)
QRS dur. 82 ms (seems fine too)

But I couldn't find the normal ranges for these:
QT/QTC int. 394/417 ms
P/QRS/T axis 53/67/33
RV5/SV1 amp 1.605/1.015 mV
RV5+SV1 amp 2.620 mV
Sinus rhythm 1100.

And then it says (which I know how to translate):
3114, cannot rule out anterior myocardial infarction
9150 abnormal ECG

I’ve been reading online that anemia can definitely impact the heart. I saw scientific articles, but the internet is the internet, so I figured maybe someone here has some experience. Since I'm still waiting for my appointment with the anesthesiologist, I was hoping to get some clarity sooner. It feels a bit premature to think I'm facing actual arterial blockages.

Thanks 🙂

A fibroid can absolutely cause anemia, especially if you're dealing with heavy periods or irregular bleeding. Usually, doctors will run blood cultures, an abdominal ultrasound, and a full OBGYN workup to be sure. Don't take those automated EKG interpretations too seriously; they're notoriously prone to errors. Regarding the heart and anemia, significant anemia often presents as tachycardia. You didn't mention your reticulocyte count, iron, TIBC, or ferritin levels.

As for the high cholesterol, if your numbers stay above 7 mmol/L even after sticking to a strict diet for three months, a statin might be put into consideration.
frozenmoose19 said:Are long-term prescriptions—the ones that actually last six months—still a thing? I'm on Synthroid for life, but my GP insists they don't exist anymore. Now I have to scramble for a new script every single month.

Just ask them to write you for two boxes at once.
Roger Johnson77 said:Is there any chance to get an exam at a private clinic that works like seeing your own primary care doctor?

You’d have to explain your symptoms so they can refer you to the right specialist.

Even if you go private, getting referrals to specialists or booking diagnostic tests at hospitals still requires a note from your primary physician. The only exception is if you decide to pay out-of-pocket for the entire workup privately—but even then, you really ought to have those results logged with your family doctor. Honestly, if you aren't clicking with your current doctor, it's much easier just to switch to a new one.
Adam Wilson3 said:I have to take my kid in for bloodwork to check their sedimentation rate (ESR). Do they need to fast?

No.
Emily Ortiz27 said:Can an IgA level under 0.1 in a five-year-old be a sign of selective immunodeficiency, or could this just be a passing phase?
The kid’s been stuck in the system for a while now. They're still running tests because of some persistent hyperplasia across multiple lymph node regions. It's a long road.
Waiting on the biopsy results. Just hanging in there.
Still waiting on that referral to the immunologist.

If we're talking about selective immunodeficiency, does the rest of the family need to get tested? Is this something passed down through the genes?
The worst part is the constant anxiety over a potential transfusion. You never really know what’s waiting for you around the corner. He’s facing a procedure on his jugular now, and all I know about the lab results is that he shouldn't be receiving any blood products.

Didn't you mention earlier that you were waiting on the pathology results from the lymph node biopsy?

It could be selective IgA deficiency. But if that’s the case, you'd need to see normal levels of the other immunoglobulins—or perhaps even a slight compensatory rise in IgE. Usually, doctors start looking into this when someone is constantly battling respiratory issues or gut infections. Most IgA is secretory, meaning it sits right in the lining of your airways and digestive tract to act as a first line of defense against pathogens. Because of that, we often see these patients dealing with atopy or autoimmune struggles like Celiac disease. That said, there's a huge percentage of people living with this deficiency who don't have a single symptom to their name.

Anaphylactic reactions following a transfusion aren't exactly common. In fact, they’re practically non-existent if the patient produces even a tiny amount of IgA. The real danger zone is for those who don't produce any at all—to them, that protein is a total foreign invader. Still, if the diagnosis is on the table, you can't ignore it. It has to be flagged during preoperative screening, and it demands tight coordination between the anesthesiologist and the hematology or immunology team. I've seen enough cases to know that cutting corners in communication like that is how mistakes happen.

In most cases, the cause remains a mystery. We see hereditary patterns in about a quarter of patients, but it doesn't follow standard Mendelian rules like hemophilia does. It’s far more complex and, frankly, poorly understood. I'm not even sure if testing immediate relatives makes any sense. At the end of the day, a diagnosis hinges on finding that specific isolated deficiency or a significant drop in IgA while everything else stays normal—an assessment that isn't exactly complicated or expensive.
shadowtiger0 said:I’d appreciate some input on these blood work results (hormones).

PROLACTIN 1026 ( 86 - 324 ) - Unfortunately, I had the draw done 1 hour and 15 minutes after waking up. That's likely why it's so high.

FSH 13.99 ( 1.5 - 12.4 )

LH 9.23 ( 1.7 - 8.6 )

PROGESTERONE 1.0 ( less than 0.5 )

ESTRADIOL 107.80 ( 41.40 - 159.00 )

TESTOSTERONE 20.91 ( 8.64 - 29.00 )

TSH 2.550 ( 0.270 - 4.200 )

CORTISOL ( 8am) 671 ( 171 - 536 )

CORTISOL ( 4pm) 221 ( 64 - 327 )

Mid-30s, non-smoker, athlete. Had this done because of poor semen analysis results.

The results are only reliable if the sample was taken within two hours of waking. This value is significantly elevated. I wouldn't chalk this up to normal physiological fluctuations in prolactin, especially since your other pituitary hormones are also high. Hyperprolactinemia in men is one of the most common culprits behind infertility. You need to see an endocrinologist—they will likely order a pituitary MRI. Before that, get a solid neurological exam and make sure you aren't taking any medications that could trigger hyperprolactinemia.
Let's talk perfectionism: General discussion in Psychology ·
Richard White8 said:Perfectionism can essentially morph into an obsessive-compulsive disorder.
At its core, OCD is just perfectionism taken to a pathological extreme. If things aren't arranged perfectly or symmetrically—if they lack exact spacing—it triggers a mental torture that won't cease until everything is rearranged. This cycle can repeat 20 or 30 times before the mind finally finds any semblance of peace.

I fail to see why perfectionism is being debated on a psychoanalysis forum. True perfectionism is actually a healthy state of mind; it’s a drive toward excellence that doesn't cause issues for the individual. It lacks the intense, debilitating pathological anxiety found in actual OCD.

But as Donna White50 pointed out, perfectionism is ultimately toxic. There is no such thing as "healthy" perfectionism. A healthy mindset involves taking action and committing to a task while hoping for a good outcome. Perfectionism, however, fixates on the result itself. That obsession is useless. It leads straight to procrastination, laziness, and eventually, massive anxiety. I've seen it happen. Perfectionists often wait for "perfect" conditions before they even start. They need to be well-rested, full, have their coffee just right, start at a specific hour, or wait for some lunar cycle... they'll watch YouTube videos or read motivational quotes just to create these absurd, imaginary prerequisites for an imaginary perfect result.

The truth is, perfection doesn't exist. Only "good enough" exists. It's much healthier to focus on growth and enjoy the process of working itself. Aim for better results, sure, but keep your eyes on the work, not the trophy. And for heaven's sake, stop tying your self-worth to your productivity. That's a recipe for disaster.
Today I’ve been hit with nothing but 503s, 504s, or some kind of "server maintenance" nonsense at least fifty times. It’s absolutely pathetic.🙂
What a joke. Nobody knows what’s going on, and now we’re just supposed to play dumb while dealing with the mess left by unit 504 and the pregnant lady in 503 (who clearly spent her time elsewhere, considering 502 just showed up to claim the inheritance). Seriously, how many moderators are actually lurking here? Not a single one reacts. This is easily the worst forum in America.
Common Cold in Health ·
Most people catch a cold right after summer ends. Part of it is just being out in the sun too much. You get sunburned—which is basically just skin inflammation—and it drains your immune system without you even realizing it. Then, once you try to jump back into the grind with a weakened defense (honestly, slamming from total relaxation straight back into a heavy work schedule at places like Goldman Sachs is a recipe for disaster), you become an easy target for those nasty little viruses.🙂
Motion sickness while driving in Health ·
I suspect it’s just nerves. She mentioned she’s driven before without any issues, and usually, that initial anxiety only shows up during the first few trips. We all get a bit jittery when we're trying something new for the first time...
That said, there might be an underlying fear—maybe a fear of crashing—that's manifesting as this nervousness. It’s worth giving those methods Nicole James suggested a shot, but you won't get to the bottom of the real cause until you sit down with a doctor.🙂
So, what's your take on why I wash my hands? Just for kicks, obviously.
placiddrifter26 said:Maybe you mean the CLIA method. If it's CLIA, they’re looking at blood tests to check for antibodies against Hepatitis B, Hepatitis C, and Syphilis, split into three distinct groups.
But I'm not entirely sure if they're asking for CLIA or the CIA, or which specific condition this is tied to. As for those high IgE levels? You've likely got an allergy.

opaska writes: CLIA method

But according to what I've read online, that's actually a certification used to guarantee the accuracy of the lab results.🙂🙂🙂
Does anyone know what high immunoglobulin E (IgE) levels actually signify?
Also, what exactly is this CLIA method they mentioned?
Bump on my lower lip in Health ·
It could just be a canker sore, but I wouldn't rule anything else out, so you should probably see a doctor.
For standard mouth ulcers, though, some propolis works wonders...
My eye is twitching! in Health ·
Betty Thompson26 said:Strabismus can stem from various eye diseases. If there are degenerative changes in the optic nerve, retina, vitreous, lens, or corneal clouding, you’d typically see a loss of visual acuity alongside it.
If vision remains sharp in that eye (tested by covering the other one), you might be looking at paralytic strabismus http://www.mayoclinic.org/?section...=8892&show=1#4 caused by issues with the muscles that move the eyes. This type is more common in adults. It could also be Brown syndrome.
http://www.mayoclinic.org/?section...&nocpp=0#35042

Brown syndrome
Could someone briefly explain what Brown syndrome actually is?

It involves the sheath of the superior oblique muscle. If the sheath is too short or the muscle is stiff, the eye can't look upward after looking toward the nose. Usually, it's a congenital disorder present from birth, though it can develop later due to inflammation, tendon scarring, or a mass near the muscle interfering with its function. Because the eye can't move in certain directions, people often adopt a compensatory head tilt. If that's happening, or if there's a deviation when looking straight ahead, surgery is usually required. Mild cases can just be monitored, as spontaneous improvement sometimes occurs (especially in acquired cases not caused by trauma).

Ivan Čima, MD, ophthalmology specialist

My advice? Go see a strabologist. They're the only ones who can give you a definitive answer.

Yeah, seeing a strabologist is definitely the move. Hehehe. P.S. I was the one who posted that question about Brown on WebMD.
Atrial fibrillation (AFib) in Health ·
Scott Allen10 said:Seriously though, please keep posting about this topic... I live for these resuscitation stories, so there's nothing wrong with having a little discussion now and then.

Especially since I feel like every single healthcare worker, whether they're a doctor or a nurse, needs to have a full grasp on this... rather than having someone like this one anesthesiologist I know who actually tries to shock a flatline during asystole...😲...if I hadn't seen it with my own eyes, I wouldn't have believed it...

Heh, looks like cosmicmaker30 really gets it. We need more forum members like you. Just keep posting about any medical field you want.🙂🙂🙂